AUTHORIZATION CARD FOR ATTORNEY
TO SIGN SIGNATURE OF DEPOSITOR
__________________ (depositor), the undersigned, of
__________________________
______________________________ (address), hereby
authorizes _________________ (attorney), of
___________________________________________________ (address), to sign and
endorse checks, drafts, and notes and to accept drafts as attorney for the
undersigned. The undersigned shall
indemnify _______________________ (bank), located at
_____________________________________________________ (address), against any
loss suffered as a result of acting on this power without notice of its
revocation.
Dated: ______________________
____________________________
(Signature of Depositor)
____________________________
(Signature of Attorney)
